Inside Sales Rep/PA Submit Specialist
Description
Company Overview
Senderra RX Pharmacy is a specialty pharmacy dedicated to providing exceptional service to patients. We believe that success lies in serving others, and we leverage technology and data to enhance our processes and improve outcomes for patients, prescribers, pharma, and payors.
Position Overview:
Serves as a patient’s advocate during the Prior Authorization approval process.
Essential Skills/Experience -
Organizational skills
Proven time management skills
Team player
Knowledge of medical terminology
Accurate data entry skills
Excellent attention to detail
Proven ability to prioritize and multi-task
Characteristics -
Sense of urgency
Organized, detail oriented; catches errors early
Ethical; respects confidentiality
Responsibilities:
Responsible for Prior Authorization submissions on various drug therapies, Prior Authorization follow up calls to plans for determinations, creating appeal letters (reviewing and revising Letter of Medical Necessities (LMN) for grammar, punctuation, and accuracy), submitting appeals and following up on determination
Responsible for collaborating with provider offices to secure electronic medical records (EMR) such as patient charts, clinical notes, and documentation for items requested by PA team to complete prior authorizationsKnowledgeable regarding Senderra’s community values and demonstrates them daily.Participate in staff meetings and conference calls as needed.Performs other incidental and related duties as required.